# SUTTER WEST BAY HOSPITALS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeside Family Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831597517
- **Authorized official:** MR. JOHN GATES (CFO)
- **Authorized official phone:** (415) 600-7771

## Contact information

- **Practice address:** 5176 HILL RD E, MODULAR BUILDING, LAKEPORT, CA 95453-6300
- **Practice address phone:** (707) 262-5088
- **Practice address fax:** (707) 262-5135
- **Mailing address:** 633 FOLSOM ST 7TH FLOOR, SAN FRANCISCO, CA 94107-3600
- **Mailing address phone:** (415) 600-7735
- **Mailing address fax:** (415) 600-7776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/12/2014
- **Last updated:** 01/20/2022
